Digestive Disease and Surgery Institute, The Cleveland Clinic, Cleveland, Ohio.
Icahn School of Medicine at Mount Sinai, New York, New York.
Curr Opin Gastroenterol. 2020 Jul;36(4):295-303. doi: 10.1097/MOG.0000000000000646.
The world is experiencing the evolving situation associated with the outbreak of the Corona Virus Disease-2019 (COVID-19) virus, and there is more of need than ever for stress management and self-care. In this article, we will define the physiological, psychological and social aspects, stages, and components of stress reactions in the context of COVID-19, review the relevant literature on stress reactions, and offer some guidance on how to help patients mitigate the physiological and psychological impact of the pandemic through resilience-building techniques.
There is continued evidence that the fight or flight response involves activation throughout the body at physiological, biochemical and immune levels. This response can be mitigated through increasing parasympathetic nervous system activation as well as cognitive and behavioral interventions.
This article will review the stress, provide a theoretical layout to predict upcoming response, and offer clinicians some practical interventions to employ as the stress of the COVID-19 pandemic continues.
世界正面临着与 2019 年冠状病毒病（COVID-19）病毒爆发相关的不断变化的情况，因此比以往任何时候都更需要进行压力管理和自我保健。在本文中，我们将在 COVID-19 的背景下定义压力反应的生理、心理和社会方面、阶段和组成部分，回顾相关的压力反应文献，并提供一些指导，帮助患者通过建立韧性的技术减轻大流行对生理和心理的影响。
有持续的证据表明，战斗或逃跑反应涉及到身体在生理、生化和免疫水平上的全面激活。这种反应可以通过增加副交感神经系统的激活以及认知和行为干预来减轻。
本文将回顾压力，提供一个理论框架来预测即将到来的反应，并为临床医生提供一些实用的干预措施，因为 COVID-19 大流行的压力仍在继续。
